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General NPI Number Information
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NPI Number | 1184614273
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Entity Type | Individual
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Provider Name | ROXANNA C GARCIA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 921 E MAIN AVENUE SUITE 2
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City | ALTON
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State | TX
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Zip | 78573
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Country | US
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Telephone | 407-678-3330
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Fax | 956-583-5067
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Provider Business Mailing Address
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Address Line | 1306 W KIWI AVENUE APARTMENT #3
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City | PHARR
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State | TX
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Zip | 78577
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Country | US
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Telephone | 407-359-8415
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Fax | 407-359-8415
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 28281
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN16629
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28281
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License Number State | TX
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